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Clinical and Experimental Obstetrics & Gynecology  2021, Vol. 48 Issue (4): 781-786    DOI: 10.31083/j.ceog4804125
Special Issue: Caesarean Section Today - “Caesarology in the 21st Century”
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The impact of Cesarean section on female fertility: a narrative review
Lorenz Hinterleitner1, Herbert Kiss2, Johannes Ott1, *()
1Clinical Division of Gynecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, 1090 Vienna, Austria
2Department of Obstetrics and Gynecology, Medical University of Vienna, 1090 Vienna, Austria
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Abstract  
Objective: The mode of giving birth has changed over the years. In 1990, approximately 10% of women delivered by Cesarean section (CS), whereas this procedure is performed daily in obstetrics today. When a surgical intervention performed, it is necessary to consider special risks and complications, including long-term effects. Mechanism: This review focuses on fertility after CS. Evidence suggests that many women who aim to have subsequent children have difficulties becoming pregnant after they have delivered by CS. Findings: There are several causes for subfertility/infertility after CS, including post-Cesarean niches, intraabdominal adhesions, and the preference for a smaller family size, among others. Conclusion: This review provides an overview of the available literature, which supports the conclusion that CS is associated with decreased odds of subsequent pregnancy and live birth.
Key words:  Cesarean section      Fertility      Infertility      Niche      Fallopian tubes      Adhesions     
Submitted:  11 April 2021      Revised:  18 May 2021      Accepted:  10 June 2021      Published:  15 August 2021     
*Corresponding Author(s):  Johannes Ott     E-mail:  johannes.ott@meduniwien.ac.at

Cite this article: 

Lorenz Hinterleitner, Herbert Kiss, Johannes Ott. The impact of Cesarean section on female fertility: a narrative review. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 781-786.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog4804125     OR     https://ceog.imrpress.com/EN/Y2021/V48/I4/781

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